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Professionalism in medical students ...

Carr, Michele M.

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Professionalism in medical students and academic surgeons: Conception, perception and practice.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Professionalism in medical students and academic surgeons: Conception, perception and practice./
Author:	Carr, Michele M.
Description:	247 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-10, Section: B, page: 5303.
Contained By:	Dissertation Abstracts International66-10B.
Subject:	Health Sciences, Education. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR07616
ISBN:	9780494076163

Professionalism in medical students and academic surgeons: Conception, perception and practice.
Carr, Michele M.

Professionalism in medical students and academic surgeons: Conception, perception and practice. - 247 p.

Source: Dissertation Abstracts International, Volume: 66-10, Section: B, page: 5303.

Thesis (Ph.D.)--University of Toronto (Canada), 2005.

The purpose of this study was to describe the experience of professionalism of surgical clerks (final year medical students), both from their point of view and from the point of view of their surgical teachers. This was undertaken in order to propose ways of evaluating professionalism in this context.

ISBN: 9780494076163Subjects--Topical Terms:

1017921
Health Sciences, Education.

Professionalism in medical students and academic surgeons: Conception, perception and practice.
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245 1 0 $a Professionalism in medical students and academic surgeons: Conception, perception and practice.
300 $a 247 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-10, Section: B, page: 5303.
502 $a Thesis (Ph.D.)--University of Toronto (Canada), 2005.
520 $a The purpose of this study was to describe the experience of professionalism of surgical clerks (final year medical students), both from their point of view and from the point of view of their surgical teachers. This was undertaken in order to propose ways of evaluating professionalism in this context.
520 $a Surgeons at the University of Toronto participated in a survey regarding the importance of various components of professionalism for clerks. Then a sample of surgeons and of clerks were interviewed to determine their view of professionalism, professional lapses, and evaluation of professionalism. Scenarios describing potential professional lapses were employed during these interviews.
520 $a Survey response rate was 54%, and the components of professionalism perceived to be most important included honesty, respect for patient confidentiality, admitting mistakes to their supervisors and asking for help when appropriate.
520 $a The interviews suggested that surgeons and clerks had different models of professionalism. Students felt that professionalism arose in the situation where a favourable personality interacted with a favourable environment and produced a successful physician, while surgeons looked at professionalism as a set of rules for smooth medical practice. Both groups had experienced professional lapses. Clerks' response to the lapse was important; those who felt that they had addressed it felt empowered and learned from it, while those who did not felt abused by the situation and had a more negative outlook on the entire medical profession.
520 $a Scenario discussion suggested that clerks were more likely to excuse a lapse as an error. Surgeons seemed to devalue the clerks' contributions to patient care, an attitude that clerks acknowledged trickled down to their peers and result in professional lapses.
520 $a Numerous suggestions for rational evaluation were made by both groups. A negative evaluative environment was acknowledged, since both groups felt that critical comments stigmatized trainees. A clear definition of professionalism, multiple evaluators, multi-directional evaluation, training in giving feedback for both clerks and surgeons, and a transparent effector mechanism were felt to be most important for good evaluation.
590 $a School code: 0779.
650 4 $a Health Sciences, Education. $3 1017921
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